Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lee Michael Tisa, DPM

Individual provider Podiatrist · NPI 1184930745

Dr. Lee Michael Tisa, DPM is a Podiatrist in Lake Geneva, Wisconsin. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

502 Sue Ann Dr
Lake Geneva, WI 53147-2341
Phone: (262) 248-9727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016-003410 (IL)

Record details

NPI number1184930745
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 20, 2010
Last updated in NPPESAugust 20, 2010

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